Mendelson, Jeri Kersten
Mendelson, Jeri Kersten is an individual health care provider with primary practice located at 3210 Hillcrest Park Dr Ste 100 , Medford OR 97504-7687. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mendelson, Jeri Kersten can be contacted via phone (541) 772-0278.Contact Information
Primary practice address
3210 Hillcrest Park Dr Ste 100
Medford OR 97504-7687
Phone: (541) 772-0278
Fax: (541) 772-0151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD24092 | Oregon |
Profile Details
| NPI number | 1134167182 |
|---|---|
| LBN Legal business name | Mendelson, Jeri Kersten |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Oct 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134167182 | NPPES |
| Oregon | MEDICAID | 226802 |
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